Active NPI
Debra Kay Boisjolie, BS
- Pharmacist
- Chanhassen, MN
National Provider Identifier
1407452725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 113208
- Practice address
- 7900 Market Blvd
Chanhassen, MN 55317-4565 - Phone
- (952) 934-2865
- NPI assigned
- Dec 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 113208 | MN | Primary |
Addresses
Primary practice location
7900 Market Blvd
Chanhassen, MN 55317-4565
Mailing address
15175 Patricia CT
Eden Prairie, MN 55346-2551
Phone (952) 232-7789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113208 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supervalu Pharmacies Inc | Past | Accepting new patients | |
| Supervalu Pharmacies Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1407452725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15175 PATRICIA CT",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553462551",
"telephone_number": "952-232-7789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 MARKET BLVD",
"city": "CHANHASSEN",
"state": "MN",
"postal_code": "553174565",
"telephone_number": "952-934-2865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOISJOLIE",
"first_name": "DEBRA",
"middle_name": "KAY",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-10",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "113208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chanhassen, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.